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This feeling of loss may be especially intense in closed or semi-open adoptions where little or no information or contact is available with birthparents.

Such grief feelings including when they first learn of their adoption, during the turbulent teen years, upon the death of other family members, or even as when becoming a spouse or parent.

Although adoption agencies take pains to gather medical and family history information, it is often not possible to have full information for the entire birth family.

In a closed or semi-open adoption, there may be no way for an adopted child to ask questions or clarify vague or missing information that may only become relevant long after the adoption occurred.

" "You look great," I replied, perkily applying lipstick from the credit card–size makeup palette I had packed in lieu of my normal arsenal of beauty supplies. M., wondering if the little baby daughter we called Willa, whom we already madly loved but knew only from a health report and two black-and-white photographs, was safe and sound.

A multitude of issues may arise when children become aware that they have been adopted.

Children may feel grief over the loss of a relationship with their birthparents and the loss of the cultural and family connections that would have existed with those parents.

Only an agency or attorney may arrange an adoption.

An attorney may not represent with regard to the adoption both the person seeking to adopt and the parent placing a child for adoption.

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